Individual provider Active NPI

Salvador Aguirre Prieto, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1306110085
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08458 Issued in TX
Practice address
3409 Worth St Ste 710
Dallas, TX 75246-2061
Phone
(214) 823-2533
Fax
(214) 823-3270
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08458 TX Primary

Addresses

Primary practice location

3409 Worth St Ste 710
Dallas, TX 75246-2061

Mailing address

3409 Worth St Ste 710
Dallas, TX 75246-2061
Phone (214) 823-2533

Other identifiers 1

IdentifierTypeStateIssuer
330311709MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000209 TX Practitioner - Physician Assistant 4486817822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Infectious Diseases ConsultantsGroup PAC ID 5092789842, 10 clinicians

Practice addresses (Care Compare)

12222 N Central Expy
Suite 140
Dallas, TX 75243-3766
Phone (214) 890-1616

3409 Worth St
Dallas, TX 75246-2060
Phone (214) 823-2533

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Infectious Disaeases Consultants, PA CurrentSince Oct 12, 2025 Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients

Locations

3409 Worth St
Ste 710
Dallas, TX 75246
Phone (214) 823-2533

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1306110085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462061",
            "telephone_number": "214-823-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462061",
            "telephone_number": "214-823-2533",
            "fax_number": "214-823-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "SALVADOR",
        "middle_name": "AGUIRRE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330311709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.